Individual provider Active NPI

Luke B Dopps, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1932276482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05057 Issued in KS
Practice address
4746 S Broadway St
Wichita, KS 67216-1738
Phone
(316) 522-2141
Fax
(316) 529-1235
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05057 KS Primary

Addresses

Primary practice location

4746 S Broadway St
Wichita, KS 67216-1738

Mailing address

4746 S Broadway St
Wichita, KS 67216-1738
Phone (316) 522-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080929000716 KS Practitioner - Chiropractic 1355418559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 N Baltimore Ave B
Derby, KS 67037-1600
Phone (316) 260-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05057KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Luke Dopps Chiropractic LLC Chiropractor CurrentSince May 15, 2019 Accepting new patients
All American Chiropractic Clinics Inc Chiropractor Past Accepting new patients

Locations

620 N Baltimore Ave
Ste B
Derby, KS 67037
Phone (316) 260-9775

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932276482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 S BROADWAY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672161738",
            "telephone_number": "316-522-2141",
            "fax_number": "316-529-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 S BROADWAY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672161738",
            "telephone_number": "316-522-2141",
            "fax_number": "316-529-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPPS",
        "first_name": "LUKE",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.